NHS NORTH EAST ESSEX CCG Latest survey results

NHS NORTH EAST ESSEX CCG Latest survey results July 2019 publication Version 1| Public 1 © Ipsos MORI 18 -042653 -01 | Version 1 | Public

Contents Background, introduction and guidance Overall experience of GP practice Local GP services Access to online services Making an appointment Perceptions of care at patients’ last appointment Managing health conditions Satisfaction with general practice appointment times Services when GP practice is closed Statistical reliability Want to know more? 2 © Ipsos MORI 18 -042653 -01 | Version 1 | Public

Background, introduction and guidance 3 © Ipsos MORI 18 -042653 -01 | Version 1 | Public

Background information about the survey • The GP Patient Survey (GPPS) is an England-wide survey, providing practice-level data about patients’ experiences of their GP practices. • Ipsos MORI administers the survey on behalf of NHS England. • For more information about the survey please refer to the end of this slide pack or visit https: //gp-patient. co. uk/. • This slide pack presents some of the key results for NHS NORTH EAST ESSEX CCG. • The data in this slide pack are based on the July 2019 GPPS publication. • In NHS NORTH EAST ESSEX CCG, 9, 527 questionnaires were sent out, and 3, 939 were returned completed. This represents a response rate of 41%. • In 2018 the questionnaire was redeveloped in response to significant changes to primary care services as set out in the GP Forward View, and to provide a better understanding of how local care services are supporting patients to live well, particularly those with long-term care needs. The questionnaire (and past versions) can be found here: https: //gp-patient. co. uk/surveysandreports. 4 © Ipsos MORI 18 -042653 -01 | Version 1 | Public

Introduction • The GP Patient Survey measures patients’ experiences across a range of topics, including: - Your local GP services • The data provide a snapshot of patient experience at a given time, and are updated annually. • Given the consistency of the survey across organisations, GPPS can be used as one element of evidence. • It can be triangulated with other sources of feedback, such as feedback from Patient Participation Groups, local surveys and the Friends and Family Test, to develop a fuller picture of patient journeys. • This slide pack is intended to assist this triangulation of data. It aims to highlight where there may be a need for further exploration. • Practices and CCGs can then discuss the findings further and triangulate them with other data – in order to identify potential improvements and highlight best practice. • The following slide suggests ideas for how the data can be used to improve services. • This pack includes trend data, beginning in 2018. Following the extensive changes to the questionnaire in 2018, all questions at CCG and practice level are not comparable prior to this year. - Making an appointment - Your last appointment - Overall experience - Your health - When your GP practice is closed - NHS Dentistry - Some questions about you • • The GP Patient Survey provides data at practice level using a consistent methodology, which means it is comparable across organisations. The survey has limitations: - Sample sizes at practice level are relatively small. The survey does not include qualitative data which limits the detail provided by the results. 5 © Ipsos MORI 18 -042653 -01 | Version 1 | Public

Guidance on how to use the data The following suggest ideas for how the data in this slide pack can be used and interpreted to improve GP services: • Comparison of a CCG’s results against the national average: this allows benchmarking of the results to identify whether the CCG is performing well, poorly, or in line with others. The CCG may wish to focus on areas where it compares less favourably. • Considering questions where there is a larger range in responses among practices or CCGs: this highlights areas in which greater improvements may be possible, as some CCGs or practices are performing significantly better than others nearby. The CCG may wish to focus on areas with a larger range in the results. • Comparison of practices’ results within a CCG: this can identify practices within a CCG that seem to be over-performing or under-performing compared with others. The CCG may wish to work with individual practices: those that are performing particularly well may be able to highlight best practice, while those performing less well may be able to improve their performance. *Images used in this slide are for example purposes only 6 © Ipsos MORI 18 -042653 -01 | Version 1 | Public *

Interpreting the results • The number of participants answering (the base size) is stated for each question. The total number of responses is shown at the bottom of each chart. • All comparisons are indicative only. Differences may not be statistically significant – particularly when comparing practices due to low numbers of responses. • For guidance on statistical reliability, or for details of where you can get more information about the survey, please refer to the end of this slide pack. • Maps: CCG and practice-level results are also displayed on maps, with results split across 5 bands (or ‘quintiles’) in order to have a fairly even distribution at the national level of CCGs/practices across each band. In cases where fewer than 10 patients have answered a question, the data have been suppressed and results will not appear within the charts. This is to prevent individuals and their responses being identifiable in the data. • Trends: 100% • Latest / 2019: refers to the July 2019 publication (fieldwork January to March 2019) 2018: refers to the August 2018 publication (fieldwork January to March 2018) For further information on using the data please refer to the end of this slide pack. 7 © Ipsos MORI 18 -042653 -01 | Version 1 | Public * More than 0% but less than 0. 5% When fewer than 10 patients respond Where results do not sum to 100%, or where individual responses (e. g. fairly good; very good) do not sum to combined responses (e. g. very/fairly good) this is due to rounding, or cases where multiple responses are allowed.

Overall experience of GP practice 8 © Ipsos MORI 18 -042653 -01 | Version 1 | Public

Overall experience of GP practice Q 31. Overall, how would you describe your experience of your GP practice? CCG’s results over time % Good 8% 12% 4% % Poor 100 Very good 40% Comparison of results 90 80 Fairly good 70 79 77 60 Neither good nor poor 37% Very poor 30 20 10 0 11 9 2018 2019 77% 83% Good 11% 6% Poor Local CCG range – % Good Practice range in CCG – % Good Lowest Performing Highest Performing 41% 99% 72% 89% Base: All those completing a questionnaire: National (760, 037); CCG 2019 (3, 873); CCG 2018 (4, 192); Practice bases range from 55 to 144; CCG bases range from 2, 240 to 10, 303 9 © Ipsos MORI National 50 40 Fairly poor CCG 18 -042653 -01 | Version 1 | Public %Good = %Very good + %Fairly good %Poor = %Very poor + %Fairly poor

Overall experience: how the CCG’s results compare to other local CCGs Q 31. Overall, how would you describe your experience of your GP practice? Percentage of patients saying ‘good’ Results range from 72% to 89% The CCG represented by this pack is highlighted in red Comparisons are indicative only: differences may not be statistically significant Base: All those completing a questionnaire: CCG bases range from 2, 240 to 10, 303 %Good = %Very good + %Fairly good 10 © Ipsos MORI 18 -042653 -01 | Version 1 | Public

Overall experience: how the CCG’s practices compare Q 31. Overall, how would you describe your experience of your GP practice? Percentage of patients saying ‘good’ Results range from 41% to 99% Comparisons are indicative only: differences may not be statistically significant Base: All those completing a questionnaire: Practice bases range from 55 to 144 %Good = %Very good + %Fairly good 11 © Ipsos MORI 18 -042653 -01 | Version 1 | Public

0% © Ipsos MORI 18 -042653 -01 | Version 1 | Public 12 Base: All those completing a questionnaire: National (760, 037); CCG 2019 (3, 873); Practice bases range from 55 to 144 HAREWOOD SURGERY LAWFORD SURGERY ST. JAMES SURGERY Percentage of patients saying ‘good’ NORTH COLCHESTER HEALTHCARE CENTRE THE RIVERSIDE HEALTH CTR COLNE MEDICAL CENTRE MILL ROAD SURGERY THE ARDLEIGH SURGERY GREAT BENTLEY SURGERY THORPE SURGERY WIVENHOE SURGERY ROWHEDGE SURGERY HIGHWOODS SURGERY AMBROSE AVENUE GROUP PRACTICE BLUEBELL SURGERY RANWORTH SURGERY EAST HILL SURGERY COLCHESTER MEDICAL PRACTICE FRONKS RD FAMILY SURGERY WINSTREE MEDICAL PRACTICE WALTON MEDICAL CENTRE TOLLGATE HEALTH CENTRE CCG WEST MERSEA SURGERY NORTH CLACTON MEDICAL PRACTICE OLD ROAD SURGERY ABBEY FIELD MEDICAL CENTRE EAST LYNNE MEDICAL CENTRE ACE COMMUNITY PRACTICE TIPTREE MEDICAL CENTRE CREFFIELD MEDICAL GROUP GREAT CLACTON MEDICAL PRACTICE MAYFLOWER MEDICAL CENTRE CARADOC SURGERY Overall experience: how the CCG’s practices compare Q 31. Overall, how would you describe your experience of your GP practice? Practices CCG National 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% Comparisons are indicative only: differences may not be statistically significant %Good = %Very good + %Fairly good

Local GP services 13 © Ipsos MORI 18 -042653 -01 | Version 1 | Public

Ease of getting through to GP practice on the phone Q 1. Generally, how easy is it to get through to someone at your GP practice on the phone? CCG’s results over time % Easy 21% 17% Very easy Fairly easy Not very easy 22% 40% Not at all easy 100 90 80 70 60 50 40 30 20 10 0 Comparison of results % Not easy 62 57 43 38 2019 Practice range in CCG – % Easy National 57% 68% Easy 43% 32% Not easy Local CCG range – % Easy Lowest Performing Highest Performing 6% 99% 49% 80% Base: All those completing a questionnaire excluding 'Haven't tried': National (742, 537); CCG 2019 (3, 774); CCG 2018 (4, 073); Practice bases range from 53 to 143; CCG bases range from 2, 194 to 10, 053 14 © Ipsos MORI CCG 18 -042653 -01 | Version 1 | Public %Easy = %Very easy + %Fairly easy %Not easy = %Not very easy + %Not at all easy

0% © Ipsos MORI 18 -042653 -01 | Version 1 | Public 15 Base: All those completing a questionnaire excluding ‘Haven’t tried’: National (742, 537); CCG 2019 (3, 774); Practice bases range from 53 to 143 HAREWOOD SURGERY COLNE MEDICAL CENTRE THE RIVERSIDE HEALTH CTR Percentage of patients saying it is ‘easy’ to get through to someone on the phone LAWFORD SURGERY GREAT BENTLEY SURGERY WIVENHOE SURGERY FRONKS RD FAMILY SURGERY THORPE SURGERY ST. JAMES SURGERY EAST HILL SURGERY COLCHESTER MEDICAL PRACTICE THE ARDLEIGH SURGERY BLUEBELL SURGERY MILL ROAD SURGERY ROWHEDGE SURGERY WINSTREE MEDICAL PRACTICE TOLLGATE HEALTH CENTRE NORTH COLCHESTER HEALTHCARE CENTRE HIGHWOODS SURGERY RANWORTH SURGERY CCG OLD ROAD SURGERY WALTON MEDICAL CENTRE GREAT CLACTON MEDICAL PRACTICE MAYFLOWER MEDICAL CENTRE WEST MERSEA SURGERY NORTH CLACTON MEDICAL PRACTICE ABBEY FIELD MEDICAL CENTRE TIPTREE MEDICAL CENTRE AMBROSE AVENUE GROUP PRACTICE CREFFIELD MEDICAL GROUP EAST LYNNE MEDICAL CENTRE ACE COMMUNITY PRACTICE CARADOC SURGERY Ease of getting through to GP practice on the phone: how the CCG’s practices compare Q 1. Generally, how easy is it to get through to someone at your GP practice on the phone? Practices CCG National 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% Comparisons are indicative only: differences may not be statistically significant %Easy = %Very easy + %Fairly easy

Helpfulness of receptionists at GP practice Q 2. How helpful do you find the receptionists at your GP practice? CCG’s results over time CCG’s results % Helpful 10% 4% Very helpful 38% Fairly helpful Not very helpful 49% Not at all helpful 100 90 80 70 60 50 40 30 20 10 0 Comparison of results % Not helpful 88 86 14 12 2018 2019 National 86% 89% Helpful 14% 11% Not helpful Local CCG range – % Helpful Practice range in CCG – % Helpful Lowest Performing Highest Performing 62% 98% 80% 94% Base: All those completing a questionnaire excluding ‘Don’t know’: National (751, 111); CCG 2019 (3, 827); CCG 2018 (4, 128); Practice bases range from 54 to 144; CCG bases range from 2, 209 to 10, 166 16 © Ipsos MORI CCG 18 -042653 -01 | Version 1 | Public %Helpful = %Very helpful + %Fairly helpful %Not helpful = %Not very helpful + %Not at all helpful

0% © Ipsos MORI 18 -042653 -01 | Version 1 | Public 17 Base: All those completing a questionnaire excluding ‘Don’t know’: National (751, 111); CCG 2019 (3, 827); Practice bases range from 54 to 144 LAWFORD SURGERY HAREWOOD SURGERY ST. JAMES SURGERY Percentage of patients saying receptionists at the GP practice are ‘helpful’ THE RIVERSIDE HEALTH CTR GREAT BENTLEY SURGERY COLNE MEDICAL CENTRE HIGHWOODS SURGERY FRONKS RD FAMILY SURGERY NORTH COLCHESTER HEALTHCARE CENTRE BLUEBELL SURGERY THE ARDLEIGH SURGERY THORPE SURGERY MILL ROAD SURGERY ROWHEDGE SURGERY RANWORTH SURGERY COLCHESTER MEDICAL PRACTICE NORTH CLACTON MEDICAL PRACTICE EAST HILL SURGERY WINSTREE MEDICAL PRACTICE AMBROSE AVENUE GROUP PRACTICE WALTON MEDICAL CENTRE WEST MERSEA SURGERY WIVENHOE SURGERY CCG TOLLGATE HEALTH CENTRE OLD ROAD SURGERY MAYFLOWER MEDICAL CENTRE ACE COMMUNITY PRACTICE CREFFIELD MEDICAL GROUP ABBEY FIELD MEDICAL CENTRE GREAT CLACTON MEDICAL PRACTICE TIPTREE MEDICAL CENTRE EAST LYNNE MEDICAL CENTRE CARADOC SURGERY Helpfulness of receptionists at GP practice: how the CCG’s practices compare Q 2. How helpful do you find the receptionists at your GP practice? Practices CCG National 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% Comparisons are indicative only: differences may not be statistically significant %Helpful = %Very helpful + %Fairly helpful

Access to online services 18 © Ipsos MORI 18 -042653 -01 | Version 1 | Public

Awareness of online services Percentage aware of online services offered by GP practice Q 4. As far as you know, which of the following online services does your GP practice offer? 100 90 80 70 Practice range within CCG 60 50 40 *% *% *% 30 20 *% *% *% 10 0 Booking appointments online Ordering repeat prescriptions online Accessing my medical records online Base: All those completing a questionnaire: National (746, 334); CCG 2019 (3, 822); Practice bases range from 54 to 140 19 18 -042653 -01 | Version 1 | Public CCG National Comparisons are indicative only: differences may not be statistically significant © Ipsos MORI *% *% None of these Don't know

Online service use Percentage used online services in past 12 months Q 5. Which of the following general practice online services have you used in the past 12 months? 100 90 *% 80 70 Practice range within CCG 60 50 CCG 40 National 30 20 10 0 *% *% *% Booking appointments online Ordering repeat prescriptions online Base: All those completing a questionnaire: National (754, 767); CCG 2019 (3, 871); Practice bases range from 55 to 144 20 18 -042653 -01 | Version 1 | Public *% Accessing my medical records online Comparisons are indicative only: differences may not be statistically significant © Ipsos MORI *% None of these

Ease of use of online services Q 6. How easy is it to use your GP practice’s website to look for information or access services? * CCG’s results over time % Easy 9% 23% Very easy 17% Fairly easy Not very easy 51% Not at all easy 100 90 80 70 60 50 40 30 20 10 0 Comparison of results % Not easy 75 74 26 25 2018 2019 CCG National 74% 77% Easy 26% 23% Not easy Local CCG range – % Easy Practice range in CCG – % Easy Lowest Performing Highest Performing 46% 93% 71% 86% *Those who say ‘Haven’t tried’ (65%) have been excluded from these results. Base: All those completing a questionnaire excluding 'Haven't tried': National (259, 817); CCG 2019 (1, 283); CCG 2018 (1, 346); Practice bases range from 12 to 71; CCG bases range from 627 to 4, 092 21 © Ipsos MORI 18 -042653 -01 | Version 1 | Public %Easy = %Very easy + %Fairly easy %Not easy = %Not very easy + %Not at all easy

0% © Ipsos MORI 18 -042653 -01 | Version 1 | Public 22 Base: All those completing a questionnaire excluding 'Haven't tried': National (259, 817); CCG 2019 (1, 283); Practice bases range from 12 to 71 TOLLGATE HEALTH CENTRE ST. JAMES SURGERY THE RIVERSIDE HEALTH CTR Percentage of patients saying it is ‘easy’ to use their GP practice’s website EAST HILL SURGERY COLNE MEDICAL CENTRE GREAT BENTLEY SURGERY MILL ROAD SURGERY LAWFORD SURGERY NORTH COLCHESTER HEALTHCARE CENTRE HAREWOOD SURGERY BLUEBELL SURGERY RANWORTH SURGERY THE ARDLEIGH SURGERY THORPE SURGERY OLD ROAD SURGERY WIVENHOE SURGERY HIGHWOODS SURGERY COLCHESTER MEDICAL PRACTICE CCG WALTON MEDICAL CENTRE AMBROSE AVENUE GROUP PRACTICE WINSTREE MEDICAL PRACTICE EAST LYNNE MEDICAL CENTRE ACE COMMUNITY PRACTICE MAYFLOWER MEDICAL CENTRE TIPTREE MEDICAL CENTRE ABBEY FIELD MEDICAL CENTRE GREAT CLACTON MEDICAL PRACTICE WEST MERSEA SURGERY NORTH CLACTON MEDICAL PRACTICE ROWHEDGE SURGERY CREFFIELD MEDICAL GROUP FRONKS RD FAMILY SURGERY CARADOC SURGERY Ease of use of online services: how the CCG’s practices compare Q 6. How easy is it to use your GP practice’s website to look for information or access services? Practices CCG National 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% Comparisons are indicative only: differences may not be statistically significant %Easy = %Very easy + %Fairly easy

Making an appointment 23 © Ipsos MORI 18 -042653 -01 | Version 1 | Public

Choice of appointment Q 16. On this occasion (when you last tried to make a general practice appointment), were you offered a choice of appointment? CCG’s results over time CCG’s results Yes, a choice of place Yes, a choice of time or day Yes, a choice of healthcare professional % Yes 11% 44% 10% No, I was not offered a choice of appointment 46% 100 90 80 70 60 50 40 30 20 10 0 55 45 Comparison of results % No 54 46 2018 2019 National 54% 62% Yes 46% 38% No No Local CCG range – % Yes Practice range in CCG – % Yes Lowest Performing Highest Performing 21% 90% 52% 67% Base: All who tried to make an appointment since being registered excluding ‘Can’t remember’ and ‘Doesn't apply’: National (593, 075); CCG 2019 (3, 042); CCG 2018 (3, 273); Practice bases range from 41 to 119; CCG bases range from 1, 759 to 8, 158 24 © Ipsos MORI CCG 18 -042653 -01 | Version 1 | Public %Yes = ‘a choice of place’ and/or ‘a choice of time or day’ and/or ‘a choice of healthcare professional’

Choice of appointment: how the CCG’s practices compare Q 16. On this occasion (when you last tried to make a general practice appointment), were you offered a choice of appointment? Percentage of patients saying ‘yes’ they were offered a choice of appointment Practices CCG National 100% 90% 80% 70% 60% 50% 40% 30% 20% THE RIVERSIDE HEALTH CTR LAWFORD SURGERY HAREWOOD SURGERY ST. JAMES SURGERY COLCHESTER MEDICAL PRACTICE ROWHEDGE SURGERY COLNE MEDICAL CENTRE THE ARDLEIGH SURGERY EAST HILL SURGERY WINSTREE MEDICAL PRACTICE HIGHWOODS SURGERY MILL ROAD SURGERY BLUEBELL SURGERY THORPE SURGERY OLD ROAD SURGERY GREAT BENTLEY SURGERY WIVENHOE SURGERY ABBEY FIELD MEDICAL CENTRE NORTH COLCHESTER HEALTHCARE CENTRE CCG AMBROSE AVENUE GROUP PRACTICE RANWORTH SURGERY EAST LYNNE MEDICAL CENTRE CREFFIELD MEDICAL GROUP NORTH CLACTON MEDICAL PRACTICE FRONKS RD FAMILY SURGERY MAYFLOWER MEDICAL CENTRE WALTON MEDICAL CENTRE WEST MERSEA SURGERY TOLLGATE HEALTH CENTRE GREAT CLACTON MEDICAL PRACTICE TIPTREE MEDICAL CENTRE ACE COMMUNITY PRACTICE 0% CARADOC SURGERY 10% Comparisons are indicative only: differences may not be statistically significant Base: All who tried to make an appointment since being registered excluding ‘Can't remember’ and ‘Doesn’t apply’: National (593, 075); CCG 2019 (3, 042); Practice bases range from 41 to 119 25 © Ipsos MORI 18 -042653 -01 | Version 1 | Public %Yes = ‘a choice of place’ and/or ‘a choice of time or day’ and/or ‘a choice of healthcare professional’

Satisfaction with appointment offered Q 17. Were you satisfied with the type of appointment (or appointments) you were offered? CCG’s results over time % Yes 9% Yes, and I accepted an appointment 22% No, but I still took an appointment 70% No, and I did not take an appointment 100 90 80 70 60 50 40 30 20 10 0 72 Comparison of results % No 30 2018 National 70% 74% Yes, took appt 70 28 CCG 2019 Yes, took appt 22% 20% No, took appt 9% 6% No, didn’t take appt Local CCG range – % Yes Practice range in CCG – % Yes Lowest Performing Highest Performing 50% 93% 63% 81% Base: All who tried to make an appointment since being registered: National (711, 867); CCG 2019 (3, 584); CCG 2018 (3, 870); Practice bases range from 49 to 141; CCG bases range from 2, 087 to 9, 714 26 © Ipsos MORI 18 -042653 -01 | Version 1 | Public %No = %No, but I still took an appointment + %No, and I did not take an appointment

0% © Ipsos MORI 18 -042653 -01 | Version 1 | Public 27 Comparisons are indicative only: differences may not be statistically significant Base: All who tried to make an appointment since being registered: National (711, 867); CCG 2019 (3, 584); Practice bases range from 49 to 141 LAWFORD SURGERY THE RIVERSIDE HEALTH CTR HAREWOOD SURGERY Percentage of patients saying ‘yes’ they were satisfied with the appointment offered COLNE MEDICAL CENTRE THE ARDLEIGH SURGERY ST. JAMES SURGERY GREAT BENTLEY SURGERY HIGHWOODS SURGERY MILL ROAD SURGERY WINSTREE MEDICAL PRACTICE NORTH COLCHESTER HEALTHCARE CENTRE COLCHESTER MEDICAL PRACTICE THORPE SURGERY WALTON MEDICAL CENTRE AMBROSE AVENUE GROUP PRACTICE FRONKS RD FAMILY SURGERY WIVENHOE SURGERY ROWHEDGE SURGERY CCG NORTH CLACTON MEDICAL PRACTICE WEST MERSEA SURGERY BLUEBELL SURGERY EAST HILL SURGERY OLD ROAD SURGERY GREAT CLACTON MEDICAL PRACTICE EAST LYNNE MEDICAL CENTRE RANWORTH SURGERY CREFFIELD MEDICAL GROUP ABBEY FIELD MEDICAL CENTRE TOLLGATE HEALTH CENTRE ACE COMMUNITY PRACTICE TIPTREE MEDICAL CENTRE CARADOC SURGERY MAYFLOWER MEDICAL CENTRE Satisfaction with appointment offered: how the CCG’s practices compare Q 17. Were you satisfied with the type of appointment (or appointments) you were offered? Practices CCG 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% National

What patients do when they are not satisfied with the appointment offered and do not take it Of those who declined an appointment, percentage who went on to do something else Q 19. What did you do when you did not take the appointment you were offered? 100% 90% 80% 70% CCG 60% National 50% 40% 30% 20% *% *% *% 10% 0% *% *% *% Got an Called an NHS Went to A&E appointment for helpline, such as a different day NHS 111 *% *% Spoke to a pharmacist *% *% *% Went to or Decided to contacted contact my another NHS practice another service time Comparisons are indicative only: differences may not be statistically significant Base: All who did not take the appointment offered (excluding those who haven't tried to make one): National (34, 350); CCG 2019 (231) 28 © Ipsos MORI 18 -042653 -01 | Version 1 | Public *% *% *% Looked for information online *% *% Spoke to a Didn’t see or friend or family speak to anyone member

Overall experience of making an appointment Q 22. Overall, how would you describe your experience of making an appointment? CCG’s results over time CCG’s results % Good Very good 12% 25% Fairly good 11% Neither good nor poor 16% Fairly poor 35% Very poor 100 90 80 70 60 50 40 30 20 10 0 Comparison of results % Poor 62 60 24 21 2018 2019 National 60% 67% Good 24% 16% Poor Local CCG range – % Good Practice range in CCG – % Good Lowest Performing Highest Performing 21% 95% 56% 76% Base: All who tried to make an appointment since being registered: National (705, 310); CCG 2019 (3, 549); CCG 2018 (3, 837); Practice bases range from 48 to 139; CCG bases range from 2, 069 to 9, 620 29 © Ipsos MORI CCG 18 -042653 -01 | Version 1 | Public %Good = %Very good + %Fairly good %Poor = %Very poor + %Fairly poor

0% © Ipsos MORI 18 -042653 -01 | Version 1 | Public 30 Base: All who tried to make an appointment since being registered: National (705, 310); CCG 2019 (3, 549); Practice bases range from 48 to 139 LAWFORD SURGERY HAREWOOD SURGERY THE RIVERSIDE HEALTH CTR Percentage of patients saying they had a ‘good’ experience of making an appointment GREAT BENTLEY SURGERY COLNE MEDICAL CENTRE ST. JAMES SURGERY THE ARDLEIGH SURGERY MILL ROAD SURGERY FRONKS RD FAMILY SURGERY COLCHESTER MEDICAL PRACTICE NORTH COLCHESTER HEALTHCARE CENTRE ROWHEDGE SURGERY WINSTREE MEDICAL PRACTICE HIGHWOODS SURGERY WIVENHOE SURGERY BLUEBELL SURGERY THORPE SURGERY EAST HILL SURGERY CCG OLD ROAD SURGERY RANWORTH SURGERY TOLLGATE HEALTH CENTRE WEST MERSEA SURGERY AMBROSE AVENUE GROUP PRACTICE WALTON MEDICAL CENTRE NORTH CLACTON MEDICAL PRACTICE ABBEY FIELD MEDICAL CENTRE GREAT CLACTON MEDICAL PRACTICE CREFFIELD MEDICAL GROUP EAST LYNNE MEDICAL CENTRE TIPTREE MEDICAL CENTRE MAYFLOWER MEDICAL CENTRE ACE COMMUNITY PRACTICE CARADOC SURGERY Overall experience of making an appointment: how the CCG’s practices compare Q 22. Overall, how would you describe your experience of making an appointment? Practices CCG National 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% Comparisons are indicative only: differences may not be statistically significant %Good = %Very good + %Fairly good

Perceptions of care at patients’ last appointment 31 © Ipsos MORI 18 -042653 -01 | Version 1 | Public

Perceptions of care at patients’ last appointment with a healthcare professional Q 26. Last time you had a general practice appointment, how good was the healthcare professional at each of the following CCG’s results Nationalresults Nationl results% Poor (total) % ‘Poor’ (total) 4% 4% 4% CCG results % ‘Poor’ Poor (total) 5% 6% 4% Listening to you Treating you with care and concern 4% 11% 4% 9% 3% 11% 39% 37% 45% 48% Giving you enough time Very poor Very good Giving you enough time Very good Listening to you Good Neither good nor poor Treating you with care and concern Poor Very poor Base: All who had an appointment since being registered with current GP practice excluding 'Doesn't apply': National (717, 030; 715, 282; 717, 062); CCG 2019 (3, 616; 3, 604; 3, 612) 32 © Ipsos MORI 18 -042653 -01 | Version 1 | Public %Poor (total) = %Very poor + %Poor

Perceptions of care at patients’ last appointment with a healthcare professional Q 28 -30. During your last general practice appointment… CCG’s results Nationalresults Nationl results% Poor % ‘No, (total) not at all’ 7% 5% 6% CCG results % ‘No, Poornot (total) at all’ 8% 6% 7% Felt involved in decisions about care and treatment Had confidence and trust in the healthcare professional Felt their needs were met 8% 6% 7% 28% 33% 66% 60% 36% 56% No, not at all Yes, definitely Felt involved in decisions about care and treatment Yes, definitely Had confidence and trust in the healthcare professional Yes, to some extent Felt their needs were met No, not at all Base: All who had an appointment since being registered with current GP practice excluding ‘Don’t know / doesn’t apply’ or ‘Don’t know / can’t say’: National (637, 385; 705, 397; 706, 338); CCG 2019 (3, 170; 3, 582; 3, 588) 33 © Ipsos MORI 18 -042653 -01 | Version 1 | Public

Mental health needs recognised and understood Q 27. During your last general practice appointment, did you feel that the healthcare professional recognised and/or understood any mental health needs that you might have had? CCG’s results over time % Yes 18% Yes, definitely 51% 31% Yes, to some extent No, not at all 100 90 80 70 60 50 40 30 20 10 0 Comparison of results CCG National 82% 86% Yes 18% 14% No No % No 87 82 18 13 2018 2019 Practice range in CCG – % Yes Local CCG range – % Yes Lowest Performing Highest Performing 63% 99% 80% 91% Base: All who had an appointment since being registered with current GP practice excluding ‘I did not have any mental health needs’ and ‘Did not apply to my last appointment’: National (284, 999); CCG 2019 (1, 318); CCG 2018 (1, 386); Practice bases range from 20 to 59; CCG bases range from 778 to 3, 655 34 © Ipsos MORI 18 -042653 -01 | Version 1 | Public %Yes = %Yes, definitely + %Yes, to some extent

Managing health conditions 35 © Ipsos MORI 18 -042653 -01 | Version 1 | Public

Support with managing health conditions Q 38. In the last 12 months, have you had enough support from local services or organisations to help you to manage your condition (or conditions)? CCG’s results over time % Yes 26% 40% Yes, definitely Yes, to some extent No, not at all 34% 100 90 80 70 60 50 40 30 20 10 0 Comparison of results % No 75 74 26 25 2018 2019 National 74% 78% Yes 26% 22% No No Local CCG range – % Yes Practice range in CCG – % Yes Lowest Performing Highest Performing 45% 95% 72% 84% Base: All with a long-term condition excluding ‘I haven’t needed support’ and ‘Don’t know / can’t say’: National (292, 168); CCG 2019 (1, 554); CCG 2018 (1, 690); Practice bases range from 22 to 62; CCG bases range from 938 to 3, 940 36 © Ipsos MORI CCG 18 -042653 -01 | Version 1 | Public %Yes = %Yes, definitely + %Yes, to some extent

Support with managing long-term health conditions: how the CCG’s practices compare Q 38. In the last 12 months, have you had enough support from local services or organisations to help you to manage your condition (or conditions)? Percentage of patients saying ‘yes’ they have had enough support to manage their condition(s) Practices CCG National 100% 90% 80% 70% 60% 50% 40% 30% 20% GREAT BENTLEY SURGERY COLNE MEDICAL CENTRE MILL ROAD SURGERY HAREWOOD SURGERY LAWFORD SURGERY NORTH COLCHESTER HEALTHCARE CENTRE EAST HILL SURGERY THE ARDLEIGH SURGERY AMBROSE AVENUE GROUP PRACTICE THE RIVERSIDE HEALTH CTR THORPE SURGERY WIVENHOE SURGERY ST. JAMES SURGERY FRONKS RD FAMILY SURGERY COLCHESTER MEDICAL PRACTICE WALTON MEDICAL CENTRE BLUEBELL SURGERY NORTH CLACTON MEDICAL PRACTICE HIGHWOODS SURGERY CCG WINSTREE MEDICAL PRACTICE GREAT CLACTON MEDICAL PRACTICE ACE COMMUNITY PRACTICE CREFFIELD MEDICAL GROUP TOLLGATE HEALTH CENTRE ABBEY FIELD MEDICAL CENTRE CARADOC SURGERY WEST MERSEA SURGERY RANWORTH SURGERY ROWHEDGE SURGERY TIPTREE MEDICAL CENTRE EAST LYNNE MEDICAL CENTRE MAYFLOWER MEDICAL CENTRE 0% OLD ROAD SURGERY 10% Comparisons are indicative only: differences may not be statistically significant Base: All with a long-term condition excluding ‘I haven’t needed support’ and ‘Don’t know / can’t say’: National (292, 168); CCG 2019 (1, 554); Practice bases range from 22 to 62 37 © Ipsos MORI 18 -042653 -01 | Version 1 | Public %Yes = %Yes, definitely + %Yes, to some extent

Satisfaction with general practice appointment times 38 © Ipsos MORI 18 -042653 -01 | Version 1 | Public

Satisfaction with appointment times Q 8. How satisfied are you with the general practice appointment times that are available to you? * CCG’s results over time Very satisfied 11% % Satisfied 21% Fairly satisfied 12% Neither satisfied nor dissatisfied 20% 37% Fairly dissatisfied Very dissatisfied 100 90 80 70 60 50 40 30 20 10 0 61 Comparison of results % Dissatisfied 58 23 21 2018 2019 Practice range in CCG – % Satisfied CCG National 58% 65% Satisfied 23% 18% Dissatisfied Local CCG range – % Satisfied Lowest Performing Highest Performing 17% 90% 54% 70% *Those who say ‘I’m not sure when I can get an appointment’ (1%) have been excluded from these results. Base: All those completing a questionnaire excluding ‘I’m not sure when I can get an appointment’: National (696, 898); CCG 2019 (3, 453); CCG 2018 (3, 738); Practice bases range from 48 to 138; CCG bases range from 2, 000 to 9, 530 39 © Ipsos MORI 18 -042653 -01 | Version 1 | Public %Satisfied = %Very satisfied + %Fairly satisfied %Dissatisfied = %Very dissatisfied + %Fairly dissatisfied

0% © Ipsos MORI 18 -042653 -01 | Version 1 | Public 40 Base: All those completing a questionnaire excluding ‘I’m not sure when I can get an appointment’: National (696, 898); CCG 2019 (3, 453); Practice bases range from 48 to 138 LAWFORD SURGERY HAREWOOD SURGERY ST. JAMES SURGERY Percentage of patients saying they are ‘satisfied’ with the appointment times available THE RIVERSIDE HEALTH CTR NORTH COLCHESTER HEALTHCARE CENTRE GREAT BENTLEY SURGERY COLNE MEDICAL CENTRE MILL ROAD SURGERY THORPE SURGERY ROWHEDGE SURGERY OLD ROAD SURGERY THE ARDLEIGH SURGERY FRONKS RD FAMILY SURGERY COLCHESTER MEDICAL PRACTICE HIGHWOODS SURGERY WINSTREE MEDICAL PRACTICE WIVENHOE SURGERY BLUEBELL SURGERY EAST HILL SURGERY CCG WALTON MEDICAL CENTRE RANWORTH SURGERY GREAT CLACTON MEDICAL PRACTICE AMBROSE AVENUE GROUP PRACTICE WEST MERSEA SURGERY NORTH CLACTON MEDICAL PRACTICE TOLLGATE HEALTH CENTRE CREFFIELD MEDICAL GROUP EAST LYNNE MEDICAL CENTRE ACE COMMUNITY PRACTICE MAYFLOWER MEDICAL CENTRE TIPTREE MEDICAL CENTRE ABBEY FIELD MEDICAL CENTRE CARADOC SURGERY Satisfaction with appointment times: how the CCG’s practices compare Q 8. How satisfied are you with the general practice appointment times that are available to you? Practices CCG National 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% Comparisons are indicative only: differences may not be statistically significant %Satisfied = %Very satisfied + %Fairly satisfied

Services when GP practice is closed • The services when GP practice is closed questions are only asked of those who have recently used an NHS service when they wanted to see a GP but their GP practice was closed. As such, the base size is often too small to make meaningful comparisons at practice level; practice range within CCG has therefore not been included for these questions. • Please note that patients cannot always distinguish between out-of-hours services and extended access appointments. Please view the results in this section with the configuration of your local services in mind. 41 © Ipsos MORI 18 -042653 -01 | Version 1 | Public

Use of services when GP practice is closed Q 45. Considering all of the services you contacted, which of the following happened on that occasion? 57% 63% I contacted an NHS service by telephone 23% 25% A healthcare professional called me back A healthcare professional visited me at home 8% 5% 33% 37% I went to A&E 13% 12% I saw a pharmacist I went to another general practice service 7% 8% 28% I went to another NHS service Can't remember 17% 4% 5% Base: All those who have contacted an NHS service when GP practice closed in past 12 months: National (139, 476); CCG 2019 (729) 42 © Ipsos MORI 18 -042653 -01 | Version 1 | Public CCG National

Time taken to receive care or advice when GP practice is closed Q 46. How do you feel about how quickly you received care or advice on that occasion? CCG’s results over time CCG’s results % About right 34% It was about right 66% It took too long 100 90 80 70 60 50 40 30 20 10 0 % Took too long 66 63 37 34 2018 2019 Local CCG range – % About right Lowest Performing Highest Performing 56% 77% Base: All those who tried to contact an NHS service when GP surgery closed in past 6 months excluding ‘Don’t know / doesn’t apply’: National (130, 757); CCG 2019 (689); CCG 2018 (799); CCG bases range from 349 to 1, 852 43 © Ipsos MORI 18 -042653 -01 | Version 1 | Public Comparison of results CCG National 66% About right 34% Took too long

Confidence and trust in staff providing services when GP practice is closed Q 47. Considering all of the people that you saw or spoke to on that occasion, did you have confidence and trust in them? CCG’s results over time CCG’s results % Yes 9% 47% 45% Yes, definitely Yes, to some extent No, not at all 100 90 80 70 60 50 40 30 20 10 0 % No 91 90 10 9 2018 2019 Comparison of results CCG National 91% Yes 9% 9% No No Local CCG range – % Yes Lowest Performing Highest Performing 88% 95% Base: All those who tried to contact an NHS service when GP surgery closed in past 6 months excluding ‘Don’t know / can't say’: National (134, 437); CCG 2019 (705); CCG 2018 (813); CCG bases range from 365 to 1, 889 44 © Ipsos MORI 18 -042653 -01 | Version 1 | Public %Yes = %Yes, definitely + % Yes, to some extent

Overall experience of services when GP practice is closed Q 48. Overall, how would you describe your last experience of NHS services when you wanted to see a GP but your GP practice was closed? CCG’s results over time % Good Very good 6% 10% 31% 13% Fairly good Neither good nor poor Fairly poor 40% Very poor 100 90 80 70 60 50 40 30 20 10 0 % Poor 71 67 18 16 2018 2019 Comparison of results CCG National 71% 69% Good 16% 15% Poor Local CCG range – % Good Lowest Performing Highest Performing 62% 76% Base: All those who tried to contact an NHS service when GP surgery closed in past 6 months excluding ‘Don’t know / can't say’: National (134, 770); CCG 2019 (711); CCG 2018 (817); CCG bases range from 360 to 1, 884 45 © Ipsos MORI 18 -042653 -01 | Version 1 | Public %Good = %Very good + %Fairly good %Poor = %Fairly poor + %Very poor

Statistical reliability 46 © Ipsos MORI 18 -042653 -01 | Version 1 | Public

Statistical reliability Participants in a survey such as GPPS represent only a sample of the total population of interest – this means we cannot be certain that the results of a question are exactly the same as if everybody within that population had taken part (“true values”). However, we can predict the variation between the results of a question and the true value by using the size of the sample on which results are based and the number of times a particular answer is given. The confidence with which we make this prediction is usually chosen to be 95% – that is, the chances are 95 in 100 that the true value will fall within a specified range (the “ 95% confidence interval”). The table below gives examples of what the confidence intervals look like for an ‘average’ practice and CCG, as well as the confidence intervals at the national level. An example of confidence intervals (at national, CCG and practice level) based on the average number of responses to the question “Overall, how would you describe your experience of your GP practice? ” Approximate confidence intervals for percentages at or near these levels (expressed in percentage points) Average sample size on which results are based Level 1: Level 2: Level 3: 10% or 90% 30% or 70% 50% +/- +/- National 770, 512 0. 10 0. 15 0. 16 CCG 4, 034 1. 29 1. 96 2. 14 Practice 110 6. 83 10. 06 10. 92 For example, taking a CCG where 4, 034 people responded and where 30% answered ‘Very good’ in response to ‘Overall, how would you describe your experience of making an appointment’, there is a 95% likelihood that the true value (which would have been obtained if the whole population had been interviewed) will fall within the range of +/-1. 96 percentage points from that question’s result (i. e. between 28. 04% and 31. 96%). When results are compared between separate groups within a sample, the difference may be “real” or it may occur by chance (because not everyone in the population has been interviewed). Confidence intervals will be wider when comparing groups, especially where there are small numbers e. g. practices where 100 patients or fewer responded to a question. These findings should be regarded as indicative rather than robust. 47 © Ipsos MORI 18 -042653 -01 | Version 1 | Public

Want to know more? 48 © Ipsos MORI 18 -042653 -01 | Version 1 | Public

Further background information about the survey • The survey was sent to c. 2. 3 million adult patients registered with a GP practice. • Participants are sent a postal questionnaire, also with the option of completing the survey online or via telephone. c. 2. 3 m Surveys to adults registered with an English GP practice • Past results dating back to 2007 are available for every practice in the UK. From 2017 the survey has been annual; previously it ran twice a year (June 2011 – July 2016), on a quarterly basis (April 2009 – March 2011) and annually (January 2007 – March 2009). • For more information about the survey please visit https: //gp-patient. co. uk/. • The overall response rate to the survey is 33. 1%, based on 770, 512 completed surveys. • Weights have been applied to adjust the data to account for potential age and gender differences between the profile of all eligible patients in a practice and the patients who actually complete a questionnaire. Since the first wave of the 2011 -2012 survey the weighting also takes into account neighbourhood statistics, such as levels of deprivation, in order to further improve the reliability of the findings. Completed surveys in the July 2019 publication • Further information on the survey including questionnaire design, sampling, communication with patients and practices, data collection, data analysis, response rates and reporting can be found in the technical annex for each survey year, available here: https: //gp-patient. co. uk/surveysandreports. 33. 1% 49 © Ipsos MORI 18 -042653 -01 | Version 1 | Public 770, 512 National response rate

Where to go to do further analysis … • For reports which show the National results broken down by CCG and Practice, go to https: //gp-patient. co. uk/surveysandreports - you can also see previous years’ results here. • To look at this year’s survey data at a national, CCG or practice level, and filter on a specific participant group (e. g. by age), break down the survey results by survey question, or to create and compare different participant ‘subgroups’, go to https: //gp-patient. co. uk/analysistool/2019. • To look at results over time, and filter on a specific participant group, go to https: //gppatient. co. uk/analysistool/trends. • For general FAQs about the GP Patient Survey, go to https: //gp-patient. co. uk/faq. 50 © Ipsos MORI 18 -042653 -01 | Version 1 | Public

For further information about the GP Patient Survey, please get in touch with the GPPS team at Ipsos MORI at GPPatient. Survey@ipsos. com We would be interested to hear any feedback you have on this slide pack, so we can make improvements for the next publication. 51 © Ipsos MORI 18 -042653 -01 | Version 1 | Public